title: Comparison of four definitions of the metabolic syndrome and odds of ischemic heart disease in the Lithuanian urban population.
abstract: OBJECTIVE
  The purpose of this study was to compare the prevalence of metabolic syndrome diagnosed, using four different definitions in the Lithuanian urban population, and determine their association with ischemic heart disease.
  
  
  METHODS
  Data from the survey performed in the framework of the HAPIEE (Health, Alcohol, and Psychosocial factors In Eastern Europe) study were presented. A random sample of 7087 individuals aged 45-72 years was screened in 2006-2008.
  
  
  RESULTS
  In Kaunas city, Lithuania, the highest prevalence of metabolic syndrome, in the urban population aged 45-72 years, was determined according to the new Joint Interim Societies (JIS) definition (44.1% of men and 48.7% of women). After adjusting for age, education, and smoking habits, the metabolic syndrome (irrespective of definition) was associated with a significantly higher risk of ischemic heart disease.
  
  
  CONCLUSIONS
  All four metabolic syndrome definitions were associated with ischemic heart disease risk; however, the odds of this disease were higher in people with the metabolic syndrome as defined by the American Heart Association/National Heart Lung Blood Institute and the National Cholesterol Education Program Adult Treatment Panel III than by the new JIS definition.
authors.affiliation: Laboratory of Population Studies, Institute of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Sukileliu 17, 50009, Kaunas, Lithuania. dalia.luksiene@med.kmu.lt
authors.forename: Dalia Ieva
authors.initials: DI
authors.lastname: Luksiene
authors.forename: Migle
authors.initials: M
authors.lastname: Baceviciene
authors.forename: Abdonas
authors.initials: A
authors.lastname: Tamosiunas
authors.forename: Regina
authors.initials: R
authors.lastname: Reklaitiene
authors.forename: Ricardas
authors.initials: R
authors.lastname: Radisauskas
mesh_terms: D000368:Aged; D015415:Biomarkers / Q000097:blood; D005260:Female; D006306:Health Surveys; D006801:Humans; D008097:Lithuania / Q000453:epidemiology; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology*; D016017:Odds Ratio; D011159:Population Surveillance / Q000379:methods; D014505:Urban Population
chemical_list: D015415:Biomarkers